Integrated Capture and Amplification of Target Nucleic Acid for Sequencing

ABSTRACT

The invention provides efficient methods of preparing a target nucleic acid in a form suitable for sequencing. The methods are particularly amenable for preparing high quality nucleic acids for massively parallel sequencing. The methods involve capturing a target nucleic acid from a sample and PCR amplification of the target nucleic acid. The target nucleic acid is captured by binding to a capture probe, which in turn binds to an immobilized probe. The immobilized probe is typically immobilized via a magnetic bead. The captured target nucleic acid is PCR amplified by thermocycling without prior dissociation of the target nucleic acid from the beads. The efficiency of the method lies in part in that both the capture and amplification steps are performed in a single vessel. The amplified nucleic acid can then be sequenced.

CROSS-REFERENCE TO RELATED APPLICATION

The present application is a non-provisional and claims the benefit offiled U.S. 61/409,107 filed Nov. 1, 2010, incorporated by reference inits entirety for all purposes.

BACKGROUND

Over the last three decades there has been an enormous increase inefficiency and corresponding decrease in cost of nucleic acid sequencingtechniques. Traditional techniques for sequencing DNA are the dideoxytermination method of Sanger (Sanger et al., PNAS USA, 74: 5463 (1977))and the Maxam-Gilbert chemical degradation method (Maxam and Gilbert,PNAS USA, 74: 560 (1977)). Both methods deliver four samples with eachsample containing a family of DNA strands in which all strands terminatein the same nucleotide. Ultrathin slab gel electrophoresis, or morerecently capillary array electrophoresis is used to resolve thedifferent length strands and to determine the nucleotide sequence,either by differentially tagging the strands of each sample beforeelectrophoresis to indicate the terminal nucleotide, or by running thesamples in different lanes of the gel or in different capillaries.

The concept of sequencing DNA by synthesis without using electrophoresiswas first described by Hyman, Analytical Biochemistry, 174: 423 (1988)and involves detecting the identity of each nucleotide as it isincorporated into the growing strand of DNA in polymerase reaction. Sucha scheme coupled with the chip format and laser-induced fluorescentdetection markedly increases the throughput of DNA sequencing projects.

More recently several different formats of so-called next generation andthird generation sequencing methods have been described that cansequence millions of target templates in parallel. Such methods areparticularly useful when the target nucleic acid is a heterogeneousmixture of variants, such as is often the case in a sample from apatient infected with a virus, such as HIV. Among the many advantages,sequencing variants in parallel provides a profile of drug resistantmutations in the sample, even drug mutations present in relatively minorproportions within the sample.

Although next generation and third generation sequencing methods aremuch more efficient than Sanger or Maxam-Gilbert sequencing methods inthe amount of sequence generated in terms of time or dollars, they arealso dependent on having high quality nucleic acids to sequence. Thepresence of impurities cannot only cause problems with sequencingreactions but in the case of contamination by non-target nucleic acidsprovides misinformation into the system that then complicates or evenmakes impossible a proper interpretation of the resulting data.Misinformation includes false positive signals, loss of robustness andsensitivity in the assay, and ambiguous results.

SUMMARY

The invention provides methods of preparing a target nucleic acid forsequencing or other uses. The methods involve contacting a targetnucleic acid with a capture probe and an immobilized probe, the captureprobe comprising a first segment that binds to the target nucleic acidand a second segment that binds to the immobilized probe, wherein thetarget nucleic acid binds to the first segment of the capture probe, andthe second segment of the capture probe binds to the target, therebycapturing the target nucleic acid; and performing a PCR amplification ofthe captured target nucleic acid without dissociation from the captureprobe bound to the immobilized probe, wherein the PCR amplification isperformed in the same vessel as the contacting step. The amplifiedtarget nucleic acid can then be sequenced. Optionally, the targetnucleic acid is an RNA molecule and the PCR amplification is an RT-PCRamplification. In some methods, the target nucleic acid is a populationof RNA molecules, and the RT-PCR amplification results in an amplifiedpopulation of nucleic acids, which are sequenced in the sequencing step.Optionally, the target nucleic acid is a viral RNA population, which mayinclude viral mRNA and/or viral genomic RNA. In some methods, thespecies of the viral RNA population differ from one another bymutations, which are identified by the sequencing step. The identifiedmutations can include at least one drug resistance mutation. In somemethods, at least one identified mutation is present in less than 10% or1% of molecules in the population of mRNA molecules. Examples of viralRNA populations include an HIV, HCV or HBV mRNA population from apatient sample.

In some such methods, the immobilized probe is immobilized viaattachment to a magnetic bead. In some such methods, the concentrationof immobilized probe linked to magnetic beads is 10-30 pg/ml, preferably15-25 ng/ml. In some methods, the PCR involves thermocycling betweentemperature ranges having a high of 90-99° C., preferably 95° C., andhaving a low of 55-65° C., preferably 60° C. In some methods, theconcentration of the capture probe is 0.2-0.8 pmol/ml, preferably0.4-0.5 pmol/ml.

In some methods, the sequencing step sequences at least 75% of thelength of the target nucleic acid. In some methods, the RT-PCR isperformed with a pair of primers hybridizing to conserved regions of thetarget molecule or its complement and proximate to the ends of thetarget molecule so as to allow amplification of at least 75% of thetarget molecule. In some methods, the sequencing step is performed by amassively parallel sequencing technique and at least 100,000 moleculesin the population of the target molecules are sequenced. In somemethods, the target nucleic acid is present in a serum or plasma sample.In some methods, the serum or plasma sample is treated with detergent torelease viral RNA. In some methods, the first segment includes a nucleicacid of at least 10 bases complementary to the target nucleic acid. Insome methods, the first segment includes a nucleic acid of 10-30 basescomplementary to the target nucleic acid. In some methods, the firstsegment is complementary to a conserved region of a viral RNA target. Insome methods, the contacting is performed with a plurality of captureprobes, the capture probes having the same second segment and differentfirst segments, the different first segments being complementary todifferent conserved regions of a viral RNA target.

In some methods, the first segment binds non-specifically to the targetnucleic acid. Optionally, the first segment includes a random sequenceof nucleotides that binds nonspecifically to the target nucleic acid.

In some methods, the second segment includes a nucleic acid of at leastsix bases complementary to a nucleic acid of at least six bases in theimmobilized probe. Optionally, the second segment includes a nucleicacid of 10-30 bases complementary to a nucleic acid of 10-30 contiguousbases in the immobilized probe. Optionally, the nucleic acid of thesecond segment is a homopolymer and the nucleic acid of the immobilizedprobe constitute a complementary homopolymer. Optionally, thehomopolymer of the second segment is poly-A and the homopolymer of theimmobilized probed is poly-T or vice versa. In some methods, the secondsegment of the capture probe and the complementary segment of theimmobilized probe are L-nucleic acids.

In some methods, the target nucleic acid is contacted with the captureprobe and immobilized probe simultaneously. In some methods, the targetnucleic acid is contacted with the capture probe before the immobilizedprobe. In some methods, the binding of the target nucleic acid to thecapture probe occurs under first hybridization conditions and thebinding of the capture probe to the immobilized probe occurs undersecond hybridization conditions and the first conditions are morestringent than the second conditions. In some methods, the firstconditions are at a higher temperature than the second conditions. Forexample, the first conditions can include a temperature of 50-70° C. andthe second conditions include room temperature.

In some methods, the sequencing is performed by single-moleculereal-time sequencing. Some methods involve forming a circular templatecomprising the amplified target nucleic acid. Some methods generate asequencing read containing multiple copies of the target nucleic acid.

BRIEF DESCRIPTION

FIG. 1 shows a 2% gel of the amplification products generated inintegrated capture and amplification reactions from clinical samples.Lane 4: 1kb marker. Lane 5: 100% heated HCV1a plasma. Lane 6: 100% HCV3bplasma. Lane 7: 90% heated HCV1a plasma +10% HCV3b plasma Lane 8: 99%heated HCV 1a plasma +1% HCV3b plasma.

FIG. 2 is a detection limit graph illustrating 50% detection at 24copies.

FIG. 3 is a detection limit graph illustrating 50% detection at 545copies.

DEFINITIONS

A nucleic acid refers to a multimeric compound comprising nucleotides oranalogs that have nitrogenous heterocyclic bases or base analogs linkedtogether to form a polymer, including conventional RNA, DNA, mixedRNA-DNA, and analogs thereof.

The nitrogenous heterocyclic bases can be referred to as nucleobases.Nucleobases can be conventional DNA or RNA bases (A, G, C, T, U), baseanalogs, e.g., inosine, 5-nitroindazole and others (The Biochemistry ofthe Nucleic Acids 5-36, Adams et al., ed., 11.sup.th ed., 1992; vanAerschott et al., 1995, Nucl. Acids Res. 23(21): 4363-70),imidazole-4-carboxamide (Nair et al., 2001, Nucleosides NucleotidesNucl. Acids, 20(4-7):735-8), pyrimidine or purine derivatives, e.g.,modified pyrimidine base6H,8H-3,4-dihydropyrimidol4,5-c[1,2]oxazin-7-one (sometimes designated“P” base that binds A or G) and modified purine baseN6-methoxy-2,6-diaminopurine (sometimes designated “K” base that binds Cor T), hypoxanthine (Hill et al., 1998, Proc. Natl. Acad. Sci. USA95(8):4258-63, Lin and Brown, 1992, Nucl. Acids Res. 20(19):5149-52),2-amino-7-deaza-adenine (which pairs with C and T; Okamoto et al., 2002,Bioorg. Med. Chem. Lett. 12(1):97-9), N-4-methyl deoxygaunosine,4-ethyl-2′-deoxycytidine (Nguyen et al., 1998, Nucl. Acids Res.26(18):4249-58), 4,6-difluorobenzimidazole and 2,4-difluorobenzenenucleoside analogues (Kiopffer & Engels, 2005, Nucleosides NucleotidesNucl. Acids, 24(5-7) 651-4), pyrene-functionalized LNA nucleosideanalogues (Babu & Wengel, 2001, Chem. Commun (Camb.) 20: 2114-5;Hrdlicka et al., 2005, J. Am. Chem. Soc. 127(38): 13293-9), deaza-oraza-modified purines and pyrimidines, pyrimidines with substituents atthe 5 or 6 position and purines with substituents at the 2, 6 or 8positions, 2-aminoadenine (nA), 2-thiouracil (sU),2-amino-6-methylaminopurine, O-6-methylguanine, 4-thio-pyrimidines,4-amino-pyrimidines, 4-dimethylhydrazine-pyrimidines, andO-4-alkyl-pyrimidines (U.S. Pat. No. 5,378,825; WO 93/13121; Gamper etal., 2004, Biochem. 43(31): 10224-36), and hydrophobic nucleobases thatform duplex DNA without hydrogen bonding (Berger et al., 2000, Nucl.Acids Res. 28(15): 2911-4). Many derivatized and modified nucleobases oranalogues are commercially available (e.g., Glen Research, Sterling,Va.).

A nucleobase unit attached to a sugar, can be referred to as anucleobase unit, or monomer. Sugar moieties of a nucleic acid can beribose, deoxyribose, or similar compounds, e.g., with 2′ methoxy or 2′halide substitutions. Nucleotides and nucleosides are examples ofnucleobase units.

The nucleobase units can be joined by a variety of linkages orconformations, including phosphodiester, phosphorothioate ormethylphosphonate linkages, peptide-nucleic acid linkages (PNA; Nielsenet al., 1994, Bioconj. Chem. 5(1): 3-7; PCT No. WO 95/32305), and alocked nucleic acid (LNA) conformation in which nucleotide monomers witha bicyclic furanose unit are locked in an RNA mimicking sugarconformation (Vester et al., 2004, Biochemistry 43(42):13233-41;Hakansson & Wengel, 2001, Bioorg. Med. Chem. Lett. 11 (7):935-8), orcombinations of such linkages in a nucleic acid strand. Nucleic acidsmay include one or more “abasic” residues, i.e., the backbone includesno nitrogenous base for one or more positions (U.S. Pat. No. 5,585,481).

A nucleic acid may include only conventional RNA or DNA sugars, basesand linkages, or may include both conventional components andsubstitutions (e.g., conventional RNA bases with 2′-O-methyl linkages,or a mixture of conventional bases and analogs). Inclusion of PNA,2′-methoxy or 2′-fluoro substituted RNA, or structures that affect theoverall charge, charge density, or steric associations of ahybridization complex, including oligomers that contain charged linkages(e.g., phosphorothioates) or neutral groups (e.g., methylphosphonates)may affect the stability of duplexes formed by nucleic acids.

Nucleic acids and their component nucleotides can exist in D or L form.The D-form is the natural form. An L-nucleic acid is the enantiomericform of a D-nucleic acid. The source of stereoisomerism in a nucleicacid resides in the sugar moiety of each monomeric units forming thenucleic acid. Except for the stereoisomerisms at the sugar moiety ofeach monomeric unit, D and L-nucleic acids and their monomeric units areclosely analogous. Thus, for example, the sugar moieties of an L-nucleicacid can be linked to the same nucleobases (i.e., adenine, guanine,cytosine, thymine and uracil) as occur in natural DNA or RNA, or any ofthe many known analogs of these nucleobases. The sugar moiety ofL-nucleic acids can be ribose or deoxyribose or similar compounds (e.g.,with 2′ -methodyx or 2′halide substitutions). The sugar moieties can belinked by sugar phosphodiester linkages as in D-nucleic acids or by anyof the analog linkages that have been used with D-nucleic acids, such asphosphorothioate or methylphosphonate linkages or peptide-nucleic acidlinkages.

L-nucleotides incorporating at least the conventional nucleobases (i.e.,A, C, G, T and U) are commercially available in the phosphoramidite formsuitable for solid phase synthesis (e.g., ChemGenes Corporation(Wilmington, USA)). L-nucleic acids can be synthesized fromL-nucleotides using the same solid phase synthesis procedures as areused for D-nucleic acids (e.g., an ABI synthesizer and standardsynthesis protocols). L-nucleotides can also be linked to D-nucleotidesby a conventional coupling cycle (see Hauser et al., Nucleic AcidsResearch, 2006, Vol. 34, No. 18 5101-5111 (2006), thus permittingsynthesis of a chimeric nucleic acid having one segment in D-nucleicacid form and the other in L-nucleic form.

L-nucleic acids hybridize to one another according to analogousprinciples to D-nucleic acids (e.g., by formation of Watson-Crick orHoogstein bonds) and have similar stability to hybrids of D-nucleicacids. The duplex formed from L-nucleic acids is a left-handed helixwhereas that formed from D-nucleic acids is a right handed helix.Although L-nucleic acids can hybridize to each other, as furtherillustrated by the Examples, L-nucleic acids and particularly polyA orpolyT L-nucleic acids have no ability to hybridize to a complementarysegment of a poly A or polyT D-nucleic acid.

Unless otherwise apparent from the context, reference to a nucleic acidor nucleotide without specifying whether the form is D-or L-, includeseither or both possibilities. However, the context may indicate thatonly a D nucleic acid or nucleotide is meant. For example, a nucleicacid occurring in nature would be understood to contain onlyD-nucleotides regardless whether so designated, as would a segment of aprobe that forms a stable duplex with such a nucleic acid.

An oligomer may contain a “random polymer” sequence that refers to apopulation of oligomers that are substantially the same in overalllength and other characteristics, but in which at least a portion of theoligomer is synthesized by random incorporation of different bases for aspecified length, e.g., a random assortment of all four standard bases(A, T, G, and C) in a DNA oligomer, or a random assortment of a fewbases (U and G) in a defined portion of a larger oligomer. The resultingoligomer is actually a population of oligomers whose finite number ofmembers is determined by the length and number of bases making up therandom portion (e.g., 2exp6 oligomers in a population of oligomers thatcontains a 6-nt random sequence synthesized by using 2 different bases).

Complementarity of nucleic acids means that a nucleotide sequence in onestrand of nucleic acid, due to orientation of its nucleobase groups,hydrogen bonds to another sequence on an opposing nucleic acid strand.The complementary bases typically are, in DNA, A with T and C with G,and, in RNA, C with G, and U with A. Complementarity can be perfect orsubstantial/sufficient. Perfect complementarity between two nucleicacids means that the two nucleic acids can form a duplex in which everybase in the duplex is bonded to a complementary base by Watson-Crickpairing. “Substantial” or “sufficient” complementary means that asequence in one strand is not completely and/or perfectly complementaryto a sequence in an opposing strand, but that sufficient bonding occursbetween bases on the two strands to form a stable hybrid complex in setof hybridization conditions (e.g., salt concentration and temperature).Such conditions can be predicted by using the sequences and standardmathematical calculations to predict the Tm of hybridized strands, or byempirical determination of Tm by using routine methods. Tm refers to thetemperature at which a population of hybridization complexes formedbetween two nucleic acid strands are 50% denatured. At a temperaturebelow the Tm, formation of a hybridization complex is favored, whereasat a temperature above the Tm, melting or separation of the strands inthe hybridization complex is favored. Tm may be estimated for a nucleicacid having a known G+C content in an aqueous 1 M NaCl solution byusing, e.g., Tm=81.5+0.41(% G+C), although other known Tm computationstake into account nucleic acid structural characteristics.

“Hybridization condition” refers to the cumulative environment in whichone nucleic acid strand bonds to a second nucleic acid strand bycomplementary strand interactions and hydrogen bonding to produce ahybridization complex. Such conditions include the chemical componentsand their concentrations (e.g., salts, chelating agents, formamide) ofan aqueous or organic solution containing the nucleic acids, and thetemperature of the mixture. Other factors, such as the length ofincubation time or reaction chamber dimensions may contribute to theenvironment (e.g., Sambrook et al., Molecular Cloning, A LaboratoryManual, 2.sup.nd ed., pp. 1.90-1.91, 9.47-9.51, 11.47-11.57 (Cold SpringHarbor Laboratory Press, Cold Spring Harbor, N.Y., 1989)).

Specific binding of a capture probe to a target nucleic or targetnucleic acids means binding between a single defined sequence in thefirst segment of a capture probe and an exactly or substantiallycomplementary segment on target nucleic acid(s) to form a stable duplex.Such binding is detectably stronger (higher signal or meltingtemperature) than binding to other nucleic acids in the sample lacking asegment exactly or substantially complementary to the single definedcapture probe sequence. Non-specific binding of a capture probe totarget nucleic acids means that the capture probe can bind to apopulation of target sequences that do not share a segment having exactor substantial complementarity to a single defined capture probesequence. Such can be achieved by for example using a randomizedsequence in the first segment of the capture probe.

Lack of binding between nucleic acids can be manifested by bindingindistinguishable from nonspecific binding occurring between a randomlyselected pair of nucleic acids lacking substantial complementarity butof the same lengths as the nucleic acids in question.

A “chimeric capture probe” serves to join a target nucleic acid and animmobilized probe by hybridization of complementary sequences. Achimeric target capture probe is sometimes referred to as a captureprobe. A chimeric capture probe includes a first segment including atarget-complementary region of sequence and a second segment forattaching the capture probe, or a hybridization complex that includesthe capture probe, to an immobilized probe. The first segment can beconfigured to be substantially complementary to a specific targetnucleic acid sequence so that a first segment and a target nucleic acidcan hybridize to form a stable duplex (i.e., having a detectable meltingpoint) under hybridizing conditions, such as described in the Examples.Alternatively, the first segment can be configured to nonspecificallybind to nucleic acid sequences in a sample under hybridizing conditions(see WO 2008/016988). The second segment includes a region of sequencethat is complementary to a sequence of an immobilized probe. Preferably,a chimeric capture probe includes a nucleic acid homopolymer (e.g.,poly-A or poly-T) that is covalently attached to thetarget-complementary region of the capture probe and that hybridizesunder appropriate conditions to a complementary homopolymer of theimmobilized probe (e.g., poly-T or poly-A, respectively) as previouslydescribed (U.S. Pat. No. 6,110,678 to Weisburg et al.). Capture probesmay further comprise a third segment that acts as a closing sequence toinactivate unbound target capture probes in a capture reaction. Thisthird segment can flank the first segment opposite the second segment(e.g., capture sequence:target hybridizing sequence:closing sequence) orit can flank the second segment opposite the first segment (e.g.,closing sequence:capture sequence:target hybridizing sequence). See WO2006/007567 and US 2009-0286249.

“Separating” or “isolating” or “purifying” refers to removing one ormore components from a complex mixture, such as a sample. Preferably, aseparating, isolating or purifying step removes at least 70%, preferablyat least 90%, and more preferably about 95% of the target nucleic acidsfrom other sample components. A separating, isolating or purifying stepmay optionally include additional washing steps to remove non-targetsample components. It is understood that at least X % refers to a rangefrom X % to 100% inclusive of all whole and partial numbers (e.g., 70%,82.5%, and so forth.)

“Release” of a capture hybrid refers to separating one or morecomponents of a capture hybrid from each other, such as separating atarget nucleic acid from a capture probe, and/or a capture probe from animmobilized probe. Release of the target nucleic acid strand separatesthe target from other components of a capture hybrid and makes thetarget available for binding to a detection probe. Other components ofthe capture hybrid may remain bound, e.g., the capture probe strand tothe immobilized probe on a capture support, without affecting targetdetection.

Reference to a range of value also includes integers within the rangeand subranges defined by integers in the range.

Transcription mediated amplification (TMA) is an isothermalnucleic-acid-based method that can amplify RNA or DNA targets abillion-fold in less than one hour's time. TMA technology uses twoprimers and two enzymes: RNA polymerase and reverse transcriptase. Oneprimer contains a promoter sequence for RNA polymerase. In the firststep of amplification, this primer hybridizes to the target RNA at adefined site. Reverse transcriptase creates a DNA copy of the targetrRNA by extension from the 3′ end of the promoter primer. The RNA in theresulting RNA:DNA duplex is degraded by the RNase activity of thereverse transcriptase. Next, a second primer binds to the DNA copy. Anew strand of DNA is synthesized from the end of this primer by reversetranscriptase, creating a double-stranded DNA molecule. RNA polymeraserecognizes the promoter sequence in the DNA template and initiatestranscription. Each of the newly synthesized RNA amplicons reenters theTMA process and serves as a template for a new round of replication.

Reverse-transcriptase PCR (RT-PCR) includes three major steps. The firststep is reverse transcription (RT), in which RNA is reverse transcribedto cDNA using reverse transcriptase. The RT step can be performed in thesame tube with PCR (using a temperature between 40° C. and 50° C.,depending on the properties of the reverse transcriptase used. The nextstep involves the denaturation of the dsDNA at temperature at or about95° C., so that the two strands separate and the primers can bind againat lower temperatures and begin a new chain reaction. Then, thetemperature is decreased until it reaches the annealing temperaturewhich can vary depending on the set of primers used, theirconcentration, the probe and its concentration (if used), and thecations concentration. An annealing temperature about 5° C. below thelowest Tm of the pair of primers is usually used (e.g., at or around 60°C.). RT-PCR utilizes a pair of primers, which are respectivelycomplementary to sequence on each of the two strands of the cDNA. Thefinal step of PCR amplification is DNA extension from the primers with aDNA polymerase, preferably a thermostable taq polymerase, usually at oraround 72° C., the temperature at which the enzyme works optimally. Thelength of the incubation at each temperature, the temperaturealterations, and the number of cycles are controlled by a programmablethermal cycler.

Real-time polymerase chain reaction, also called quantitative real timepolymerase chain reaction (Q-PCR/qPCR/qrt-PCR) or kinetic polymerasechain reaction (KPCR), is a laboratory technique based on the PCR, whichis used to amplify and simultaneously quantify a targeted DNA molecule.It enables both detection and quantification (as absolute number ofcopies or relative amount when normalized to DNA input or additionalnormalizing genes) of one or more specific sequences in a DNA sample.

A copy of a target nucleic acid in a sequencing read means an identicalcopy or substantially identical copy (e.g., at least 80% sequenceidentity) differing as a result of nucleobase unit misincorporations intemplate-dependent extension or sequencing errors.

All temperatures are indicated in degrees Celsius.

DETAILED DESCRIPTION

I. General

The invention provides efficient methods of preparing a target nucleicacid in a form suitable for sequencing (although the target nucleic acidcan also be used for other purposes, such as detection, quantificationor other analysis). The methods are particularly amenable for preparinghigh quality nucleic acids for massively parallel sequencing. Themethods involve capturing a target nucleic acid from a sample and PCRamplification of the target nucleic acid. The target nucleic acid iscaptured by binding to a capture probe, which in turn binds to animmobilized probe. The immobilized probe is typically immobilized via amagnetic bead. The captured target nucleic acid is PCR amplified withoutdissociating the target nucleic acids from the beads before performingthe PCR. The efficiency of the method lies in part in that capture andamplification steps are fully integrated without eluting captured targetfrom the magnetic beads before the amplification reaction is performed.The captured and amplified nucleic acid can then be further processedfor sequencing. Although the principle of capturing a target nucleicacid via a capture probe and an immobilized probe is incorporated intothe commercially available PROCLEIX® HIV-1/HCV Assay, its use in thepresent methods differs from such commercial use inter alia in thatcaptured nucleic acids are amplified via reverse transcription and athermocycling PCR reaction as distinct from isothermal transcriptionmediated amplification and the goal of preparation is sequencing ofamplified target nucleic acids as distinct from simple detection.

II. Capture Probes

The invention employs chimeric target capture probes having at leastfirst and second segments. The first segment binds to a target nucleicacid either specifically or nonspecifically (see U.S. Pat No. 6,110,678and WO 2008/016988). The second segment, sometimes known as a tail,binds to an immobilized probe and thus serves to capture the targetnucleic bound to the capture probe to a support linked to an immobilizedprobe. Capture probes are typically provided in single-stranded form, orif not, are denatured to single-stranded form before or during use (seeWO 2006/007567 and US 2009-0286249).

The first segment of the chimeric capture probe is typically designed tobind to a target nucleic acid sequence of interest. In some captureprobes, the first segment is designed to bind to a segment within aparticular target nucleic acid and not to (or at least withsubstantially reduced affinity) other nucleic acids lacking this segmentthat are present in the sample. In other capture probes, the firstsegment is designed to bind to a class of target nucleic acids (e.g.,any DNA molecule) and does not necessarily substantially discriminatebetween individual target nucleic acids within the class (e.g., by useof a randomized sequence).

For the first segment to bind to a particular target nucleic acidsequence of interest, the first segment can be designed to include anucleic acid that is substantially and preferably exactly complementaryto a corresponding segment of the target nucleic acid. The nucleic acidof such a first segment preferably includes at least 6, 10, 15 or 20nucleobase units (e.g., nucleotides). For example, the nucleic acid cancontain 10-50, 10-40, 10-30 or 15-25 nucleobase units (e.g.,nucleotides) complementary to corresponding nucleotides in the targetnucleic acid. Here, as elsewhere in the application, ranges forcontiguous nucleic acid sequences are fully inclusive of all wholenumbers defining or within the range (10, 11, 12, 13 . . . 47, 48, 49,50). For a capture probe to capture a population of related targetmolecules (e.g., a viral RNA population in a patient sample in whichmolecules differ from one another by the presence of mutations), thecapture probe is preferably designed to be complementary to a targetsegment that is relatively conserved among different members of thepopulation.

For the first segment to bind nonspecifically to nucleic acids withoutnecessarily substantially discriminating between different sequenceswithin a class, the first segment can include a random polymer sequencemade up of all four standard DNA bases (guanine (G), cytosine (C),adenine (A) and thymine (T)) or all four standard RNA bases (G, C, A,and uracil (U)) (see US 2008/0286775) The random sequence can alsoinclude one or more base analogs (e.g., inosine, 5-nitroindole) orabasic positions in the random polymer sequence. Such a random polymersequence can contain one or more sequences of poly-(K) bases, i.e., arandom mixture of G and U or T bases (e.g., see Table 1 of WIPO Handbookon Industrial Property Information and Documentation, Standard ST.25(1998)). Sequences that include G and U/T bases can be chosen for their“wobble” property, i.e., U/T binds G or A, whereas G binds C or U/T. Acapture probe having a first segment synthesized with a random polymersequence is in fact a finite population of oligonucleotides that containdifferent random polymer sequences made up of the bases included duringthe synthesis of the random portion. For example, a population ofnonspecific capture probes that include a 15 nt random polymer sequencemade up of G, C, A and T consists of 4¹⁵ members. The first segment canbe designed to bind to DNA sequences preferentially relative to RNA orvice versa (see US 2008-0286775).

The second segment is designed to bind to an immobilized probe. Thesecond segment includes a nucleic acid that is substantially andpreferably exactly complementary to a nucleic acid present in theimmobilized probes. Optionally, the second segment of the immobilizedprobe and the complementary segment in the immobilized probe can both beL-nucleic acids, as described in a co-pending applicationPCT/US2011/052050. Because L-nucleic acids hybridize only to otherL-nucleic acids, the use of L-nucleic acids can further increase thespecificity of capture of a desired target nucleic acid. The nucleicacid of the capture probe preferably includes at least six nucleobaseunits (e.g., D or L-nucleotides) and preferably 10-50, 10-40, 10-10 or15-25 nucleobase units. Ranges for contiguous nucleic acid sequences arefully inclusive of all whole numbers (10, 11, 12, 13 . . . 47, 48, 49,50) defining or within the range. The L-nucleic acid of the captureprobe is preferably a homopolymer and more preferably polyA and/or polyT(e.g. d(T)₀₋₅/d(A)₁₀₋₄₀, ranges being inclusive of all whole numbersdefining or within the range). A preferred nucleic acid is or includes ahomopolymer of 30 adenines. The length of the nucleic acid (i.e., numberof nucleobase units) in the capture probe may or may not be the same asthe length of the-nucleic acid in the immobilized probe.

The melting temperature of the duplex formed between the nucleic acid ofthe capture probe and nucleic acid of the immobilized probe preferablyhas a lower melting temperature than the duplex formed between thenucleic acid of the first segment of the capture probe and the targetnucleic acid. The melting temperatures of both duplexes can becalculated by conventional equations relating base composition andlength of a duplex to its melting temperature as discussed above.Selection of polyA or polyT homopolymers for the nucleic acids of thecapture and immobilized probes tends to confer a lower meltingtemperature than that for a duplex formed between the first segment ofthe capture probe and the target nucleic acid because the latter duplexusually also contains some C-G pairings, which confer greater stabilityon a duplex than A-T pairings. A lower melting temperature of the duplexformed between the second segment of the capture probe and theimmobilized probe than the duplex formed between the first segment ofthe capture probe and the target nucleic acid is advantageous inallowing the hybridization to be performed under conditions of higherstringency in which the capture probe first hybridizes to the targetnucleic acid and lower stringency in which the capture probe nowhybridizes to the target nucleic acid hybridizes to the immobilizedprobe. When performed in this order, both capture probe and targetnucleic acid are in solution when they hybridize in which conditions,hybridization takes place with much faster kinetics.

The capture probe may or may not include additional segments as well asthe first and second segments mentioned above. For example, thenucleobase units of the first segment and nucleobase units of the secondsegment can be directly connected by a phosphodiester bond (or any ofthe analogs thereof discussed above) or can be separated by a shortspacer or linker region, which may include nucleotides (D- or L), orother molecules, such as PEG typically found in linkers. For example, ifthe second segment is a polyA homopolymer, the first and second segmentscan be connected by one or more (e.g., three) thymine residues. Acapture probes can also include a third segment such that the firstsegment is flanked by the second and third segments. In such anarrangement, the third segment can include a nucleic acid complementaryto the nucleic acid in the second segment, such that the capture probeis capable of self-annealing to form a stem-loop structure in which thesecond and third segments are annealed as a stem and the first segmentforms a loop in between. Such a stem loop structure can only form whenthe first target nucleic acid is not hybridized with its target nucleicacid. Such an arrangement can be useful in reducing the ability of acapture probe to hybridize with an immobilized probe before the captureprobe has bound to its target nucleic acid and in reducing competitionbetween unhybridized capture probe and a detection probe used to detectthe target nucleic acid (see US 20060068417).

Multiple different capture probes can be used in combination in the samereaction. In this case, the different capture probes typically havedifferent first segments complementary to different target nucleic acidsor different segments within the same target nucleic acid, and theidentical second segments, so they can bind immobilized probes havingthe complementary sequences to these second segments. Use of multipledifferent capture probes can be useful in capturing a population ofrelated target sequences that may be present in a sample, for example,sequence and/or length variants. For example, in capturing a viral RNApopulation in which members differ from one another by presence ofmutations, multiple capture probes binding to different conservedregions within the viral genome can be used. The number of differentcapture probes can be at least 1, 2, 5, 10, 20, 50 or 100, for example,1-100 or 2-50 or 3-25, inclusive of all whole numbers defining or withinthe range.

The concentration of magnetic bead and capture probe used for targetcapture when the captured target is subsequently subjected to areal-time detection are typically less than an otherwise similar capturereaction subjected to an end-point detection. For example, theconcentration of the capture probe in the present methods can be 0.2-0.8pmol/ml or preferably 0.4-0.5 pmol/ml. Without being bound by anytheory, it is believed higher levels of magnetic bead and capture probeinterferes with the sensitivity of real-time detection more so than withthe sensitivity of end-point detection.

IV. Immobilized Probe

An immobilized probe includes a nucleic acid joined directly orindirectly to a support. As indicated in the description of the captureprobe, the nucleic acid is substantially or preferably exactlycomplementary to a nucleic acid in the capture probe, although may ormay not be the same length (number of nucleobase units) as the nucleicacid in the capture probe. The complementary segments in the captureprobe and immobilized probe are either both D-nucleic acids or bothL-nucleic acids. The nucleic acid in the immobilized probe preferablycontains at least six contiguous nucleobase units (e.g., D- orL-nucleotides) and can contain for example 10-45 or 10-40 or 10-30 or10-25 or 15-25, inclusively, D- or L-nucleobase units, any range beinginclusive of all whole numbers defining or within the range. The nucleicacid is preferably a homopolymer, and more preferably a homopolymer ofadenine or thymine A preferred form of immobilized probe is or includesa homopolymer of 14 thymine residues for use in combination with acapture probe including a second segment with a homopolymer of adenineresidues. The nucleic acid moiety of an immobilized probe is typicallyprovided in single-stranded form, or if not, is denatured to singlestranded form before or during use.

Any of a variety of materials may be used as a support for theimmobilized probes, e.g., matrices or particles made of nitrocellulose,nylon, glass, polyacrylate, mixed polymers, polystyrene, silanepolypropylene, and magnetically attractable materials. Monodispersemagnetic spheres are a preferred support because they are relativelyuniform in size and readily retrieved from solution by applying amagnetic force to the reaction container, preferably in an automatedsystem. An immobilized probe may be linked directly to the capturesupport, e.g., by using any of a variety of covalent linkages,chelation, or ionic interaction, or may be linked indirectly via one ormore linkers joined to the support. The linker can include one or morenucleotides of either D or L-enantiomeric forms not intended tohybridize to the capture probe but to act as a spacer between thenucleic acid of the immobilized probe and its support. As mentionedabove, the concentration of immobilized probe bound magnetic supportsand capture probe used for target capture is typically less when targetcapture is coupled to a real-time detection than is the case for anend-point detection because higher concentrations of supports mayinhibit the real-time detection sensitivity. For immobilized probe boundmagnetic beads, the concentration is preferably 15-25 pg/ml, or about 20pg/ml of the target capture reaction mix.

V. Target Nucleic Acid

A target nucleic acid refers to a nucleic acid molecule or population ofrelated nucleic acid molecules that is or may be present within asample. A target nucleic acid includes a segment (target segment) thathybridizes with the first segment on the capture probe to form a stableduplex. The target segment can be the same or substantially the samelength as the nucleic acid of the first segment of the capture probe andexactly or substantially complementarity to this nucleic acid. Thetarget segment can be only a small fraction of the total length of atarget nucleic acid. For example, a target nucleic acid can be severalthousand nucleotides long and a target segment can be for example, only10-30 of these nucleotides. A target nucleic acid can exist in differentforms, i.e., single-stranded, double-stranded, triple-stranded, ormixtures thereof, such as in a partially double-stranded hairpinstructure or partially double-stranded duplex structure, and a targetsegment can present on any strand (sense or anti-sense) of thestructure. A target nucleic acid can be RNA (e.g., viral RNA, micro RNA, mRNA, cRNA, rRNA, hnRNA or DNA (genomic or cDNA) among others. Thetarget nucleic acid can be from a pathogenic microorganism, such as avirus, bacteria or fungus, or can be endogenous to a patient. A targetnucleic acid can be synthetic or naturally occurring. A target nucleicacid can range in length from at least about ten nucleotides to morethan 1000 nucleotides or up to 10,000 nucleotides or even greater than10,000 nucleotides. Target nucleic acids having 25-10,000 nucleotidesare common

Viral nucleic acids (e.g., genomic, mRNA) form a useful target foranalyses of viral sequences. Some examples of viruses that can bedetected include HIV, hepatitis (A, B, or C), herpes virus (e.g., VZV,HSV-1, HAV-6, HSV-II, CMV, and Epstein Barr virus), adenovirus, XMRV,influenza virus, flaviviruses, echovirus, rhinovirus, coxsackie virus,cornovirus, respiratory syncytial virus, mumps virus, rotavirus, measlesvirus, rubella virus, parvovirus, vaccinia virus, HTLV virus, denguevirus, MLV-related Virus, papillomavirus, molluscum virus, poliovirus,rabies virus, JC virus and arboviral encephalitis virus.

Analysis of viral nucleic acids is particularly useful for analyzingdrug resistance. Viruses mutate rapidly so that a patient is ofteninfected with a heterogeneous population of viral nucleic acids, whichchanges over time. Some of the mutations differentiating species of theheterogeneous population may be associated with resistance to a drugthat the patient has been treated with or may be treated with in thefuture. Deconvolution of the population to detect individual variantsallows detection of drug resistant mutations and their change over time,thus allowing treatment regimes to be customized to take into accountthe drug resistance of strains infecting a particular patient. Becausedrug-resistant or other mutations may present as only a small proportionof viral nucleic acid molecules, sequencing of a large number ofmolecules in the viral nucleic population may be required to provide ahigh likelihood of identifying all drug resistant mutations or at leastall, whose representation as a percentage of the total viral nucleicacid population exceeds a threshold. When the present methods ofcapturing and amplifying a target nucleic population are coupled to amassively parallel sequencing technique, at least 100,000, or 1,000,000members of the target nucleic population can be sequenced. Using thepresent methods, it is possible to identify mutations present atrepresentations of less than, for example, 10%, 1% or 0.1% can beidentified. Read lengths of for example at least 100, 500, 1000, 2000,or 5000 nucleotides of target nucleic acid can be obtained.

Human nucleic acids are useful for diagnosing diseases or susceptibilitytowards disease (e.g., cancer gene fusions, BRACA-1 or BRAC-2, p53,CFTR, cytochromes P450), for genotyping (e.g., forensic identification,paternity testing, heterozygous carrier of a gene that acts whenhomozygous, HLA typing), determining drug efficacy on an individual(e.g., companion diagnostics) and other uses.

rRNA is particularly useful for detecting and/or typing pathogenicbacteria. Examples of such bacteria include chlamydia, rickettsialbacteria, mycobacteria, staphylococci, treptocci, pneumonococci,meningococci and conococci, klebsiella, proteus, serratia, pseudomonas,legionella, diphtheria, salmonella, bacilli, cholera, tetanus, botulism,anthrax, plague, leptospirosis, Lymes disease bacteria, streptococci, orneisseria.

VI. Sample

A “sample” or “biological sample” refers to any composition or mixturein which a target nucleic acid of interest may be present, includingplant or animal materials, waste materials, materials for forensicanalysis, environmental samples, and the like. A biological sampleincludes any tissue, cell, or extract derived from a living or deadorganism which may contain a target nucleic acid, e.g., peripheralblood, bone marrow, plasma, serum, biopsy tissue including lymph nodes,respiratory tissue or exudates, gastrointestinal tissue, urine, feces,semen, or other body fluids. Samples of particular interest are tissuesamples (including body fluids) from a human or an animal having orsuspected of having a disease or condition, particularly infection by avirus. Other samples of interest include industrial samples, such as forwater testing, food testing, contamination control, and the like.

Sample components may include target and non-target nucleic acids, andother materials such as salts, acids, bases, detergents, proteins,carbohydrates, lipids and other organic or inorganic materials.

A sample may or may not be subject of processing to purify or amplify atarget nucleic acid before performing the target capture assay describedbelow. It is not, for example, necessary to perform a column binding ofelution of nucleic acids. Such a step concentrates and purifies nucleicacids but also can lose a large proportion of the sample. Furtherprocessing can include simple dilution of a biological fluid with alysing solution to more complex (e.g., Su et al., J. Mol. Diagn. 2004,6:101-107; Sambrook, J. et al., 1989, Molecular Cloning, A LaboratoryManual, 2nd ed., pp. 7.37-7.57; and U.S. Pat. Nos. 5,374,522, 5,386,024,5,786,208, 5,837,452, and 6,551,778). Viral RNA samples are oftenprepared by treating plasma or serum with detergent to release RNA fromviruses. Typically, a sample containing a target nucleic acid is heatedto inactivate enzymes in the sample and to make the nucleic acids in thesample single-stranded (e.g., 90-100° C. for 2-10 min, then rapidlycooling to 0-5° C.).

VII. Target Capture Assay

A target capture assay is performed using one or more chimeric captureprobes, an immobilized probe, a sample and a suitable medium to permithybridization of the capture probe to the target nucleic acid and ofcapture probe to the immobilized probe. Usually, the target sample isheated before performing the assay to denature any nucleic acids indouble stranded form. The components can be mixed in any order. Forexample the capture probe can be added to the sample and hybridized withthe target nucleic acid in the sample before adding the immobilizedprobe. Alternatively, the capture probe can already be hybridized to theimmobilized probe before supplying these two probes to the assay mix.However, for an automated assay, it is preferable to minimize the numberof adding steps by supplying the capture probe and immobilized probe atthe same or substantially the same time. In this case, the order ofhybridization can be controlled by performing a first hybridizationunder conditions in which a duplex can form between the capture probeand the target nucleic acid but which exceeds the melting temperature ofthe duplex that would form between the capture probe and immobilizedprobe, and then performing a second hybridization under conditions ofreduced stringency. Stringency can most easily be reduced by loweringthe temperature of the assay mix. For example, the higher stringencyhybridization can be performed at or around 60° C. and the lowerstringency hybridization by allowing cooling to room temperature.

Following formation of the target nucleic acid:capture probe:immobilized probe hybrid (the capture hybrid complex) is isolated awayfrom other sample components by physically separating the capturesupport using any of a variety of known methods, e.g., centrifugation,filtration, or magnetic attraction of a magnetic capture support. Tofurther facilitate isolation of the target nucleic acid from othersample components that adhere non-specifically to any portion of thecapture hybrid, the capture hybrid may be washed one or more times todilute and remove other sample components. Washing may be accomplishedby dissociating the capture hybrid into its individual components in anappropriate aqueous solution (e.g., a solution containing Tris and EDTA.See e.g., U.S. Pat. No. 6,110,678) and appropriate conditions (e.g.,temperature above the Tm of the components) and then re-adjusting theconditions to permit reformation of the capture hybrid. However, forease of handling and minimization of steps, washing preferably rinsesthe intact capture hybrid attached to the capture support in a solutionby using conditions that maintain the capture hybrid. Preferably,capture of the target nucleic acid with washing if performed, removes(that is, retains in the tube) at least 70%, preferably at least 90%,and more preferably about 95% of the target nucleic acid molecules fromother sample components.

The target nucleic acid is then subject to PCR amplification, which inthe case of RNA samples is an RT-PCR reaction, without prior release ofthe target nucleic acid from the capture complex. Although no step isperformed with intent to dissociate the target nucleic acid from thecapture probe before initiating PCR or RT-PCR, the target nucleic acidmay be partially or completely dissociated from the capture probe in thecourse of thermocycling, particularly in a denaturation step performedat or around 95° C. The PCR reaction can be performed in the same vessel(e.g., a microfuge tube) as the capture step. The PCR reaction involvesthermocycling between a high temperature of about 95 degrees (e.g.,90-99 ° C.) for dissociation and a low temperature of about 60° C.(e.g., 40-75, or 50-70 or 55-64° C.) for annealing. Typically, thenumber of complete thermocycles is at least 10, 20, 30 or 40. PCRamplification is performed using one or more primer pairs. A primer pairused for PCR amplification includes two primers complementary toopposite strands of a target nucleic acid flanking the region desired tobe sequenced. For sequencing most of a viral genome (e.g., more than 50,75 or 99%), the primers are preferably located close to the ends of theviral genome. For amplification of related molecules (e.g., mutant formsof the same virus present in a patient sample), the primers arepreferably complementary to conserved regions of the target nucleic acidlikely to be present in most members of the population. (Depending onselection of primers, amplification does not necessarily amplify theentire length of a target nucleic acid, but in any case, the amplifiedproduct can still referred to as being amplified target nucleic acid.)PCR amplification is described in PCR Technology: Principles andApplications for DNA Amplification (ed. H.A. Erlich, Freeman Press, NY,N.Y., 1992); PCR Protocols: A Guide to Methods and Applications (eds.Innis, et al., Academic Press, San Diego, Calif., 1990); Mattila et al.,Nucleic Acids Res. 19, 4967 (1991); Eckert et al., PCR Methods andApplications 1, 17 (1991); PCR (eds. McPherson et al., IRL Press,Oxford); and U.S. Pat. No. 4,683,202.

Following PCR amplification, the amplified target can optionally besubject to further processing to purify it and/or modify it to beamenable to a particularly sequencing format. Purification if desiredcan be performed on a silica column (e.g., a Qiagen gravity flow column)The target nucleic acid binds to the column, where it can be washed andthen eluted. The amplified target DNA can also be adapted for somesequencing formats by attachment of an adapter. The amplified DNA can betailed by Klenow-mediated addition of nucleotides (usually ahomopolymer) followed by annealing to an oligonucleotide complementaryto the added tail, and ligation. Depending on the sequencing platformused, special adaptors are ligated to the template before sequencing.For example, a SMRT™ hairpin loop adapter can be ligated to the sampletemplate for sequencing with a Pacific Biosciences' PacBio RS sequencer(see, e.g., Travers et al. Nucl. Acids Res. (2010) 38 (15): e159).

The amplified target nucleic acid is suitable for sequence analysis by avariety of techniques. (Depending on the primers used for amplification,the form of the template for sequencing and the sequencing technique,sequencing is not necessarily performed on the entire length of theoriginally captured target nucleic acid, but such sequencing can in anycase be referred to as sequencing of the target nucleic acid or capturedtarget nucleic acid.) The capture of target nucleic acid can be coupledto several different formats of so-called next generation and thirdgeneration sequencing methods. Such methods can sequence millions oftarget templates in parallel. Such methods are particularly useful whenthe target nucleic acid is a heterogeneous mixture of variants, such asis often the case in a sample from a patient infected with a virus, suchas HIV. Among the many advantages, sequencing variants in parallelprovides a profile of drug resistant mutations in the sample, even drugmutations present in relatively minor proportions within the sample.

Some next generation sequence methods amplify by emulsion PCR. A targetnucleic acid immobilized to beads via a capture probe provides asuitable starting material for emulsion PCR. The beads are mixed withPCR reagents and emulsion oil to create individual micro reactorscontaining single beads (Margulies et al., Nature 437, 376-80 (2005)).The emulsion is then broken and the individual beads with amplified DNAare sequenced. The sequencing can be pyrosequencing performed forexample using a Roche 454 GS FLX sequencer (454 Life Sciences, Branford,Conn. 06405). Alternatively, sequencing can be ligation/detectionperformed for example using an ABI SOLiD Sequencing System (LifeTechnologies, Carlsbad, Calif. 92008). In another variation, amplifiedtarget nucleic acids are immobilized in different locations on an array(e.g., the HiScanSQ (Illumina, San Diego, Calif. 92121)). The targetnucleic acids are amplified by bridge amplification and sequenced bytemplate directed incorporation of labeled nucleotides, in an arrayformat (Illumina). In another approach, single molecules of amplifiedtarget nucleic acids are analyzed by detecting in real-time theincorporation of nucleotides by a polymerase (single-molecule real-timesequencing or SMRT™ sequencing). The nucleotides can be labelednucleotides that release a signal when incorporated (e.g., PacificBiosciences, Eid et al., Sciences 323 pp. 133-138 (2009) or unlabelednucleotides, wherein the system measures a chemical change onincorporation (e.g., Ion Torrent Personal Genome Machine (Guilform,Conn. 94080)). In a preferred format, the target nucleic acids resultingfrom amplification are ligated to SMRT-bell™ adapters or otherwiseconverted to a circular template form and subjected to single-moleculereal-time sequencing (Korlach et al., Nucleosides, Nucleotides andNucleic Acids, 27:1072-1083 (2008), U.S. Pat. Nos. 7,181,122, 7,302,146,and 7,313,308). In such a format, circular templates are sequencedindividually and incorporated nucleobase unit is detected in real timebefore incorporation of the next incorporated nucleobase unit. Multiplepasses around the template molecule can generate a sequencing readcontaining multiple copies of a target nucleic acid. Sequencing of anindividual templates can take place in a cylindrical metallic chamberknown as a zero mode waive guide, and many such individual templateseach in its own zero mode waive guide can be sequenced in parallel.

Although captured target nucleic acids can be sequenced by anytechnique, third generation, next generation or massively parallelmethods offer considerable advantages over Sanger and Maxam Gilbertsequencing. Several groups have described an ultra high-throughput DNAsequencing procedure (see. e.g., Cheeseman, U.S. Pat. No. 5,302,509,Metzker et al., Nucleic Acids Res. 22: 4259 (1994)). The pyrosequencingapproach that employs four natural nucleotides (comprising a base ofadenine (A), cytosine (C), guanine (G), or thymine (T)) and severalother enzymes for sequencing DNA by synthesis is now widely used formutation detection (Ronaghi, Science 281, 363 (1998); Binladin et al.,PLoS ONE, issue 2, e197 (February 2007); Rehman et al., American Journalof Human Genetics, 86, 378 (March 2010); Lind et al., Hum. Immunol.71:1033-42 (2010); Shafer et al., J. Infect Dis. 1;199(5):610 (2009)).In this approach, the detection is based on the pyrophosphate (PPi)released during the DNA polymerase reaction, the quantitative conversionof pyrophosphate to adenosine triphosphate (ATP) by sulfurylase, and thesubsequent production of visible light by firefly luciferase. Morerecent work performs DNA sequencing by a synthesis method mostly focusedon a photocleavable chemical moiety that is linked to a fluorescent dyeto cap the 3′-OH group of deoxynucleoside triphosphates (dNTPs) (Welchet al. Nucleosides and Nucleotides 18, 197 (1999) & European Journal,5:951-960 (1999); Xu et al., U.S. Pat. No. 7,777,013; Williams et al.,U.S. Pat. No. 7,645,596; Kao et al, U.S. Pat. No. 6,399,335; Nelson etal., U.S. Pat. Nos. 7,052,839 & 7,033,762; Kumar et al., U.S. Pat. No.7,041,812; Sood et al, US Pat. App. No. 2004-0152119; Eid et al.,Science 323, 133 (2009)). In sequencing-by-synthesis methodology, DNAsequences are being deduced by measuring pyrophosphate release ontesting DNA/polymerase complexes with each deoxyribonucleotidetriphosphate (dNTP) separately and sequentially. See Ronaghi et al.,Science 281: 363 365 (1998); Hyman, Anal. Biochem. 174, 423 (1988);Harris, U.S. Pat. No. 7,767,400.

Sequencing platforms are further moving away from those that read aplurality of target nucleic acids towards single molecule sequencingsystems. Amplification is desirable even for single molecule sequencingschemes because target nucleic acid can be used in preparing thetemplate for sequencing. Earlier systems analyze target nucleic acids inbulk. What this means is that, for example with Sanger sequencing, aplurality of target nucleic acids are amplified in the presence ofterminating ddNTPs. Collectively, each termination position read on agel represents a plurality of amplification products that all terminatedat the same nucleobase position. Single molecule sequencing systems usenanostructures wherein the synthesis of a complementary strand ofnucleic acid from a single template is performed. These nanostructuresare typically configured to perform reads of a plurality of singlestrand nucleic acids. Each single strand contributes sequenceinformation to the sequence analysis system. See, Hardin et al.,7,329,492; Odera, US Pub. Pat. App No. 2003-0190647.

For a further review of some sequencing technologies, see Cheng,Biochem. Biophys. 22: 223 227 (1995); Mardis, Annual Review of Genomicsand Human Genetics 9: 387-402 (2008) & Genome Medicine 1 (4): 40 (2009);Eid et al., Science 323, 133 (2009); Craighead et al., U.S. Pat. No.7,316,796; Lipshutz, et al., Curr Opinion in Structural Biology., 4:376(1994); Kapranov et al., Science 296, 916 (2002); Levene et al., U.S.Pat. No. 6,917,726, Korlach et al., U.S. Pat. No. 7,056,661; Levene etal. Science 299, 682 (2003); Flusberg et al., Nature Methods v. 7, no.6, p. 461 (June 2010); Macevicz, U.S. Pat. Nos. 6,306,597 & 7,598,065;Balasubramanian et al., U.S. Pat. No. 7,232,656; Lapidus et al, U.S.Pat. No. 7,169,560; Rosenthal et al., U.S. Pat. No. 6,087,095; Lasken,Curr Opin Microbiol. 10(5):510 (2007); Ronaghi et al., Pharmacogenics.Volume 8, 1437-41 (2007); Keating et al., PLoS One 3(10):e3583 (2008);Pease et al., PNAS USA 91(11):5022 (1994); Lockhart, et al., NatBiotechnol. 14(13):1675 (1996); Shendure et al., Science 309, 1728(2005); Kim et al., Science 316, 1481 (2007); Valouev et al. GenomeResearch 18 (7): 1051 (2008); Cloonan et al., Nature Methods 5 (7): 613(2008); Tang et al. Nature Methods 6 (5): 377 (2009); McKernan et al.Genome Research 19 (9): 1527 (2009); Ecker et al., Nature ReviewsMicrobiology 6, 553 (2008).

VI. Kits

The invention also provides kits for performing the methods forcapturing and amplifying targets. Kits contain some and usually all ofat least one capture probe, at least one immobilized probe, and at leastone primer pair for PCR amplification as described above. In preferredkits, the immobilized probe is immobilized to a magnetized particle,preferably a paramagnetic bead, with homopolymeric oligomers (e.g.,polyA, polyT, polyC, or polyG) attached to it that are complementary toa homopolymeric portion of the capture probe in the kit. Kits can alsoinclude chemical compounds used in forming the capture hybrid and/ordetection hybrid, such as salts, buffers, chelating agents, and otherinorganic or organic compounds. Kits can also include reversetranscriptase and a DNA polymerase for performing RT-PCR. Kits can alsoinclude one or more reagents for performing sequencing, such asSMRT™-bell (hairpin loop sequencing primer binding sites) or otheroligonucleotides for generating a circular template, a sequencingprimer, a sequencing polymerase, a set of nucleotides for incorporatingin sequencing, optionally bearing different fluorescent labels. Kits canalso include chemicals for preparing samples for use in the inventionmethods which may include individual components or mixtures of lysingagents for disrupting tissue or cellular material and preserving theintegrity of nucleic acids. Such compositions include enzymes,detergents, chaotropic agents, chelating agents, salts, bufferingagents, and other inorganic or organic compounds. Kits can include anycombination of the capture probe, immobilize probe and primer paircomponents described above which can be packaged in combination witheach other, either as a mixture or in individual containers. Kits canalso contain instructions for performing the capture methods describedabove.

Although the invention has been described in detail for purposes ofclarity of understanding, certain modifications may be practiced withinthe scope of the appended claims. All publications and patent documentscited in this application are hereby incorporated by reference in theirentirety for all purposes to the same extent as if each were soindividually denoted. To the extent difference sequences might beassociated with the same accession number at different times, thesequence associated with the accession number at the effective filingdate is meant. The effective filing date means the earliest prioritydate at which the accession number at issue is disclosed. Unlessotherwise apparent from the context any element, embodiment, step,feature or aspect of the invention can be performed in combination withany other

EXAMPLES Example 1 Capture Probe and Amplification Primers

An exemplary capture probe sequence for capture of HCV (SEQ ID NO:1) isthe following: 5′-CCCGGGGCACTCGCAAGCTTTAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA.

The part of this sequence complementary to HCV is 5′-CCCGGGGCACTCGCAAGC(SEQ ID NO:2). The remaining sequence is a homopolymer tail and atrinucleotide T linker.

Some exemplary primer pairs for amplification of HCV are as follows(Table 1):

TABLE 1 SEQ ID NO: Sequence 5′ → 3′ SEQ ID NO: 3 CTGCGGAACCGGTGAGTACACCSEQ ID NO: 4 CTCGCAAGCACCCTATCAGGCAGT SEQ ID NO: 5CTAGCCATGGCGTTAGTATGAGTGTCGTGCAG SEQ ID NO: 6AGGCATTGAGCGGGTTGATCCAAGAAAGGAC SEQ ID NO: 7 AACCCACTCTATGYCCGGYCAT.SEQ ID NO: 8 GAATCGCTGGGGTGACCG SEQ ID NO: 9CCATGAATCACTCCCCTGTGAGGAACTA SEQ ID NO: 10 TTGCGGGGGCACGCCCAASEQ ID NO: 11 GGGGCACTCGCAAGCACCCTATCAGGCAGTACC SEQ ID NO: 12TCRTCCYGGCAATTCCGGTGTACTCACCGGTTC SEQ ID NO: 13 CTGCGGAACCGGTGAGTACACCGSEQ ID NO: 14 CTGCGGAACCGGTGAGTACACCGGAATTGCCAGG ACGA SEQ ID NO: 15CTGCGGAACCGGTGA SEQ ID NO: 16 CTGCGGAACCGGTGAG SEQ ID NO: 17CTGCGGAACCGGTGAGTA SEQ ID NO: 18 CTGCGGAACCGGTGAGTACA SEQ ID NO: 19CTGCGGAACCGGTGAGTACACCGG SEQ ID NO: 20 CTGCGGAACCGGTGAGTACACCGGAASEQ ID NO: 21 CTGCGGAACCGGTGAGTACACCGGAAT SEQ ID NO: 22CTGCGGAACCGGTGAGTACACCGGAATT SEQ ID NO: 23CTGCGGAACCGGTGAGTACACCGGAATTGCCA SEQ ID NO: 24CTGCGGAACCGGTGAGTACACCGGAATTGCCAGGA SEQ ID NO: 25CTGCGGAACCGGTGAGTACACCGGAATTGCCAGGA CGACCGGGT SEQ ID NO: 26GGTACTGCCTGATAGGGTGCTTGCGAG SEQ ID NO: 27 TGGTACTGCCTGATAGGGTGCTTGCGAGSEQ ID NO: 28 TGTGGTACTGCCTGATAGGGTGCTTGCGAG SEQ ID NO: 29TTGTGGTACTGCCTGATAGGGTGCTTGCGAG SEQ ID NO: 30AGGCCTTGTGGTACTGCCTGATAGGGTGCTTGCGAG SEQ ID NO: 31TACTGCCTGATAGGGTGCTTGCGAG SEQ ID NO: 32KKKKKKKKKKKKKKKKKKTTTAAAAAAAAAAAAAA AAAAAAAAAAAAAAAA

Exemplary primer combinations include a forward primer from SEQ ID NOS:3& 13-25 and a reverse primer from SEQ ID NOS:4, 11 & 26-31. Theinvention is not limited by these exemplary capture probe and primersequences, which are provided merely to illustrate the invention.Similarly, the invention is not limited by the HCV target nucleic acid,also provided to illustrate the invention integrated capture andamplification.

Example 2 Integrated Capture and Amplification of HCV From ClinicalSamples

This example performs an integrated capture and amplification of HCVfrom clinical samples to show that captured samples can be PCR amplifiedin the presence of magnetic beads. The clinical samples were selected toprovide a mixture of HCV genotypes in a ratio that provided one of thegenotypes as a substantially minority species in the mix. In one set ofconditions, the samples were 90% HCV1a and 10% HCV3b. In a second set ofconditions, the samples were 99% HCV1a+1% HCV3b. HCV RNA from thesemixed population samples was captured and the 5′ untranslated regions ofeach of the genomes were RT-PCR amplified in integrated reactions.

Reagents used in these experiments were SEQ ID NOS:1, 3 and 4; SYBRGREEN RT-PCR mix and enzyme (ABI); heat-inactivated HCV1a and HCV3bplasma; oligo d(T)14 magnetic beads and a Rotorgene 3000 (Qiagen). SEQID NO:1 was a target capture oligomer and SEQ ID NOS:3 and 4 areprimers. Sample 1 was provided as 100% heat-inactivated HCV1a plasma ata concentration of 1.56E5 copies/mL. Sample 2 was provided as 100% HCV3bplasma at a concentration of 1.56E5 copies/mL. Sample 3 was provided as90% heat inactivated HCV1a plasma and 10% HCV3b plasma (246.5 μL, ofsample 1 and 103.5 μL of sample 2). Sample 4 was provided as 99% heatinactivated HCV1a plasma and 1% HCV3b plasma (337 μL of sample 1 and 13μL, of sample 2).

Target captures were performed by combining 280 μL of target capturereagent per reaction with 350 μL of sample. Capture conditions were a 30minute incubation at 60° C. followed by a 30 minute cool-down to 20° C.Following capture, washes were performed using 500 μL of wash buffer perreaction. The capture complexes (magnetic bead/immobilized probe:captureprobe:target nucleic acid) were maintained during the wash steps; thusthere was no target elution performed. Capture beads complexed to thevarious capture probe:target nucleic acids and were then transferred towells of a PCR reaction tray and resuspended in 40 μL of the SYBR GREENRT-PCR mix containing 0.9 mM each primer, enzyme and water to a finalvolume of 50 μL. A real time RT-PCR reaction was performed. Followingthe RT-PCR reaction, 10 microliters of each PCR reaction condition wasrun on a 2% gel. (FIG. 1) The amplification products were all about 170base pairs in length. The amplification product was also prepared forsequencing using a Pacific Biosciences sequencer (PacBio RS, PacificBiosciences, Menlo Park, Calif.) according to manufacturer'sinstructions (results not shown). Briefly, the amplified product wasseparated from other nucleic acids in the reaction mixture using a spincolumn (QIAGEN, Gaithersberg, MD) and quantitated using a Qubit system(Invitrogen, Carlsbad, Calif.), each according to manufacturers'instructions. Qubit quantitative results were as follows: Sample 1: 340ng/μl; Sample 2: 313 ng/μl; Sample 3: 296 ng/μl; and Sample 4: 356ng/μl. The amplified product was then ligated with the appropriateamount of SMRT™Bell adapters (Pacific Biosciences), according tomanufacturer's instructions. The amplification products generated fromthe integrated amplification and capture method in this example werethen ready for sequencing.

These results show amplification of a target nucleic acid performed inan amplification reaction that is integrated with the target capturereaction containing magnetic capture beads. Amplification products wereprovided in robust amounts. The amplification products present as cleanbands on a 2% gel at their appropriate sizes.

Example 3 Comparison of an Integrated Capture and Amplification Methodto a Capture, Elution and Amplification Method

This example compares integrated non-specific capture and amplificationto non-specific capture, elution and amplification. The integratedcapture and amplification method does not have an elution step, whereasthe capture, elution and amplification method does have an elution step.Reagents were as follows:

Materials:

The target nucleic acid was heat-attenuated influenza virus A purchasedfrom ZeptoMetrix (Buffalo N.Y., Cat #NATFLUAH1-ST). The concentration ofstock virus was 7.47 e5 copies/μL. A serial dilution of stock was madeto include concentrations of 250 copies/180 μL; 125 copies/180 μL; 62.5copies/180 μL; 31.25 copies/180 μL; and 15.625 copies/180 μL.

The amplification and detection kit was a real-time PCR assay availablefrom Gen-Probe Prodesse, Inc., (Waukesha, Wis., ProFlu+, 100rxns cat#H44VKOO, 1500rxns cat #H44VK77, Control Kit cat #H44VK55). Thereal-time PCR assay was performed generally according to manufacturer'sinstruction.

The non-specific target capture reagent used for the integrated captureand amplification method was a wobble capture oligonucleotide (SEQ IDNO:32) used as generally described herein. (See also US Pat App2008/0286775 for capture using a K18 wobble oligonucleotide).

The non-specific target capture reagent used for thecapture/elute/amplify method was the BioMerieux NucliSense® (Durham,N.C.) Magnetic Extraction Reagents (cat #200 293), Lysis Buffer (cat#200 292), NucliSense® MiniMAG® (cat #200 305). The capture and elutionwas performed according to manufacturer's instructions. MiniMAG® is acommercially available system in which nucleic acids bindnonspecifically to magnetic silica and are eluted from the magneticsilica before PCR amplification. In comparative testing, MiniMAG hasbeen reported to give the highest yields of DNA among three commercialsystems being compared. Tang et al., J. Clin. Microbiol. 43,4830-4833(2005).

Methods:

A deep-well 96 well plate was prepared for each reaction condition. Afirst plate was prepared for the integrated capture and amplification ofinfluenza virus A RNA. 180 μL of each serial dilution was combined in awell with 20 μL of internal control reagent from the ProFlu+kit. 160 μLof target capture reagent containing SEQ ID NO:32 was then added to eachof the wells for a total volume of 360 μL. The target capture reactionwas performed as follows: the plate was incubated at 60° C. for 20 minand then at room temperature for 30 min; the plate was washed threetimes with wash buffer from a PROCLEIX® kit (Gen-Probe Incorporated, cat#1116) on a KingFisher 96 Instrument with 3 wash plates; the capturedand washed target nucleic acids were then resuspended in 20 λL of a PCRMasterMix made according the ProFlu+protocol, and the mixture wasamplified in a PCR reaction using the RotorGene 3000 according to theProFlu+ amplification protocol. For samples having influenza virus A,twelve replicates were assayed for each condition. For negative controlsix replicates were assayed.

A second plate was prepared to contain 180 μL of each serial dilution ina separate well. Influenza virus A RNA was captured from these separateconditions using the MiniMag according to manufacturer's instructionswith the elution volume set at 30 μL. PCR was performed using 5 μL ofthe 30 microliter elution volume and using the ProFlu+ kit as describedabove.

Results:

The results of the PCR assay (Table 2) show that the integratednon-specific capture and amplification method provided cycle time (Ct)values that were lower and had less standard deviation than were thecycle time results obtained from the capture, elution and amplificationmethod. In Table 2, columns A-D are detection results from integratednon-specific capture and amplification; columns A and B are results forinfluenza virus A target nucleic acids; columns C and D are results forinternal controls; columns E-H are results for capture, elution andamplification; columns E and F are results for influenza virus A; andcolumns G and H are results for internal controls.

Setting a limit of detection at 50% (LOD), the integrated non-specifictarget capture and amplification method was far more sensitive than wasthe capture, elution and amplification method (FIGS. 2 and 3). Theintegrated method resulted in an LOD of 24 copies, whereas thenon-integrated method resulted in an LOD of 545 copies. Thus, theintegrated method is far more sensitive than is the non-integratedmethod.

TABLE 2 Input A B C D E F G H copies Mean (Ct) Percent Mean (Ct) PercentMean (Ct) Percent Mean (Ct) Percent of fluA (±SD) Positive (±SD)Positive (±SD) Positive (±SD) Positive 250  31 (0.9) 100 18.9 (0.3) 10036.3 (4.6) 75 22.1 (0.9) 100 125 31.5 (1.5) 91.6 18.7 (0.3) 100 37.9(3.6) 75 22.1 (1.1) 100 62.5 33.1 (1.2) 66.7 18.7 (0.2) 100 38.7 (3.8)41.7 22.1 (0.9) 100 31.25 33.2 (1.4) 75 18.8 (0.2) 100 36.9 (2.2) 2522.6 (0.7) 100 15.625 34.3 (0.5) 25 18.9 (0.3) 100  36 (1.4) 16.7 22.7(0.6) 100 Flu A  28 (0.3) 100 N/A 0 28.1 (0.5) 100 N/A 0 PositiveControl Negative  0 (0) 0 18.9 (0.3) 100  0 (0) 0 22.3 (1.3) 100 Control

Conclusion:

The integrated non-specific target capture and amplification methodallowed for the direct amplification/detection of captured Flu A RNAwithout an additional elution step resulting in superior sensitivity andlower Ct values compared to a non-hybridization-based nucleic acidcapture, elution and amplification method, which requires the elutionstep.

1. A method of preparing a target nucleic acid, comprising contacting atarget nucleic acid with a capture probe and an immobilized probe, thecapture probe comprising a15 first segment that binds to the targetnucleic acid and a second segment that binds to the immobilized probe,wherein the target nucleic acid binds to the first segment of thecapture probe, and the second segment of the capture probe binds to theimmobilized probe, thereby forming a capture hybrid capturing the targetnucleic acid; and performing a PCR amplification with real timedetection of the captured target nucleic acid without a step ofdissociating the capture hybrid before initiating thermocycling in thePCR amplification; wherein the PCR amplification is performed in thesame vessel as the contacting step. 2-17. (canceled)
 18. The method ofclaim 1, wherein the target nucleic acid is an RNA molecule and the PCRamplification is an RT-PCR amplification.
 19. The method of claim 18,wherein the target nucleic acid is a viral RNA population.
 20. Themethod of claim 1, wherein the immobilized probe is immobilized viaattachment to a magnetic bead.
 21. The method of claim 20, wherein theconcentration of immobilized probe linked to magnetic beads is 10-30pg/ml.
 22. The method of claim 1, wherein the PCR involves thermocyclingbetween temperature ranges of 90-99° C. , and 55-65° C.
 23. The methodof claim 1, wherein the concentration of the capture probe is 0.2-0.8pmol/ml.
 24. The method of claim 1, wherein the target nucleic acid ispresent in a serum or plasma sample.
 25. The method of claim 24, whereinthe serum or plasma sample is treated with detergent to release viralRNA.
 26. The method of claim 1, wherein the first segment includes anucleic acid of 10-30 bases complementary to the target nucleic acid.27. The method of claim 19, wherein the contacting is performed with aplurality of capture probes, the capture probes having the same secondsegment and different first segments, the different first segments beingcomplementary to different conserved regions of a viral RNA target. 28.The method of claim 1, wherein the first segment includes a randomsequence of nucleotides that binds nonspecifically to the target nucleicacid.
 29. The method of claim 28, wherein the second segment includes anucleic acid of 10-30 bases complementary to a nucleic acid of 10-30contiguous bases in the immobilized probe.
 30. The method of claim 29,wherein the nucleic acid of the second segment is a homopolymer and thenucleic acid of the immobilized probe constitute a complementaryhomopolymer.
 31. The method of claim 30, wherein the homopolymer of thesecond segment is poly-A and the homopolymer of the immobilized probedis poly-T or vice versa.
 32. The method of claim 28, wherein the secondsegment of the capture probe and the complementary segment of theimmobilized probe are L-nucleic acids.
 33. The method of claim 1,wherein the target nucleic acid is contacted with the capture probe andimmobilized probe simultaneously.
 34. The method of claim 1, wherein thebinding of the target nucleic acid to the capture probe occurs underfirst hybridization conditions and the binding of the capture probe tothe immobilized probe occurs under second hybridization conditions andthe first conditions are more stringent than the second conditions. 35.The method of claim 34, wherein the first conditions are at a highertemperature than the second conditions.
 36. The method of claim 34,wherein the first conditions include a temperature of 50-70° C. and thesecond conditions include room temperature.